Abstract
Situs inversus totalis (SIT) is a rare anomaly. A limited number of reports document surgery for lung cancer in patients with SIT. We report the case of a 68-year-old man with SIT who underwent video-assisted thoracoscopic bisegmentectomies for synchronous double primary lung cancers. Preoperative evaluation of the pulmonary vessels and bronchus by three-dimensional computed tomography (CT) was unavailable owing to the patient’s renal function disorder. However, the procedure was safely completed by adequate anatomic identification and careful operative manipulation based on plain CT study. His postoperative course was uneventful, and no recurrence has been observed 3 years after surgery.
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References
Thompson JR. Bronchogenic carcinoma complicating situs inversus totalis: report of a case. Dis Chest. 1963;44:317–319.
Kodama K, Doi O, Tatsuta M. Situs inversus totalis and lung cancer. Chest. 1990;97:1274–1275.
Subotich D, Mandarich D, Katchar V, Bulajich B, Drndarski B. Lung resection for primary bronchial carcinoma in a patient with complete situs inversus. Clin Anat. 2006;19:358–362.
Afzelius BA. A human syndrome caused by immotile cilia. Science. 1976;193:317–319.
Douard R, Feldman A, Bargy F, Loric S, Delmas V. Anomalies of lateralization in man: a case of total situs inversus. Surg Radiol Anat. 2000;22:293–297.
Shimizu J, Arano Y, Adachi I, Morishita M, Fuwa B, Saitoh M, et al. Adenosquamous carcinoma of the lung in a patient with complete situs inversus. Ann Thorac Cardiovasc Surg. 2011;17:178–181.
Ho AM, Friedland MJ. Kartagener’s syndrome: anesthetic considerations. Anesthesiology. 1992;77:386–388.
Wójcik J, Grodzki T, Bielewicz M, Wojtyś M, Kubisa B, Pierόg J, et al. Lung cancer in situs inversus totalis (SIT)—literature review. Adv Med Sci. 2013;58:1–8.
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We thank Dr. Tetsuya Mizuno, MD and Dr. Yukinori Sakao, MD of the Department of Thoracic Surgery, Aichi Cancer Center Hospital in Nagoya, Japan, for their helpful support in editing the manuscript.
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Matsui, T., Mizuno, K. & Yamada, T. Video-assisted thoracoscopic bisegmentectomies for double primary lung cancers in a patient with situs inversus totalis. Gen Thorac Cardiovasc Surg 66, 671–674 (2018). https://doi.org/10.1007/s11748-018-0926-x
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DOI: https://doi.org/10.1007/s11748-018-0926-x